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Home My WebLink About05-4974 I I' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4974 Permit Number: 4974 I Permit Type: RE-ROOF . Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RE$IDENTIAL Square Feet: Est. Value: Improv. Cost: 1,000.00 Date Issued: 9/30/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 9/30/2005 Work Desc: RE-ROOF Address: 6208 10TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: CAROLINE KENNEDY Address: 6208 10TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTlON FEES: When extra in pection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i spection when called (e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible The payment of inspection fees shall be ade before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If y U intend to obtain financing, consult with your lender or an attorney before recording your notice of com encement. " Complete Plan, Specifications and Fee Must Accompany Application. All work shall be rformed in accordance with City Codes and Ordinances o OCCUPANCY BEFORE C.O. ~~ PERMIT OFF I $PECTION - 8 HOUR NOnCE REQUIRED OTECT CARD FROM WEATHER CONTRACTOR SIGNATUR CALLFO . I II CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEfARTMENT 5335 8!rH st, Zephyrhills, FL 33542 '813-780-0020 FAX: 813-780-0021 DATE RI!:CE IVEO PHONE CONTACT FOR PERMITTING JOB ADDRESS PHONE 17 OJ ) 44L/ OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: 0 NEW CONSTRUCT I DSIGN PROPOSED USE: ~GL FAMILY DW o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN'.PERMIT ONLY (2) SET PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLANS OF BUILDING PLANS & (1) SET ENERGY OF ENGINEERED PLANS REQUIRED. REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. o BUILDING I' PERMITS REQUESTED , J :\ -:"I $ /, (hT-[I{Jt,/ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL $ o GAS ~OOFING 0 SPECIAL AMP SERVICE o Progress Energy 0 W.R.E.C. VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOC FINISHED FLOOR ELEVATIONS --I o FRAME o STEEL o OTHER I S PROJECT IN FLOOD ZONE: AREA 0 YES o NO BUILDER COMPANY STATE CERT OR REGIST # *************** ************************************ ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # - . *************** ************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *************** ************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ************** ************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understand~ that this permit may be subject to "deed restrictions" w)lich may be more restrictive than City regulations. The undersigned assumes responsibility f~r compliance with any applicable deed restrictions: B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's ,Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and l~nd development. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenc~d prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to pe~mit issuance. A permit issued shall be construed to be a license to proceed with the work and not a~ authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for ~a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requ~sted in writing to'the Building'Official. An approved inspection must be logged d~ring each six month period, or the projeot will be considered abandoned. WARNING TO OWNER: YOUR,FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O~ AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,50Q IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 2<L- STATE OF FLORIDA - COUNTY OF The foregoing instrument was Befor~ me thia _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type of identification) and wlioO did 0 did not take an oath. Owho has produced (type of identification) and who Odid Qjid not take an oat!h Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped